Individual provider · Type 1 NPI

Charlie Harris

Student in an Organized Health Care Education/Training Program · Dubuque, IA

NPI number 1689206534 Active

Practice location

1450 Alta Vista St
Dubuque, IA 52001-4327

Call (763) 249-5287 Map

Mailing address

11502 Meadow Ln NE
Blaine, MN 55449-5917

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689206534

Charlie Harris's National Provider Identifier is 1689206534, issued on Feb 9, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dubuque, IA. The record was last updated on Feb 9, 2020.